| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,164.60 | $3,164.60 | $3,164.60 | |
United
| Professional | $2,544.41 | $2,750.59 | $8,026.70 |
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,164.60 | $3,164.60 | $3,164.60 | |
United
| Professional | $2,544.41 | $2,750.59 | $8,026.70 |